Active NPI
Paul Edward Norris II, LMFT
- Mental Health Counselor
- San Francisco, CA
National Provider Identifier
1407561335
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 559 40TH Ave
San Francisco, CA 94121-2522 - Phone
- (415) 890-3567
- NPI assigned
- Jan 16, 2023
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
559 40TH Ave
San Francisco, CA 94121-2522
Mailing address
559 40TH Ave
San Francisco, CA 94121-2522
Phone (415) 890-3567
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | http://paulenorris.com | Other |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jan 1, 2024 through Jan 1, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 122524 | CA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1673827200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1673827200000",
"number": "1407561335",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "559 40TH AVE",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941212522",
"telephone_number": "415-890-3567"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "559 40TH AVE",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941212522",
"telephone_number": "415-890-3567"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NORRIS",
"first_name": "PAUL",
"middle_name": "EDWARD",
"name_prefix": "Ms.",
"name_suffix": "II",
"credential": "LMFT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2023-01-16",
"last_updated": "2023-01-16",
"certification_date": "2023-01-15",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "http://paulenorris.com",
"affiliation": "N",
"endpointDescription": "Web site",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "provide information",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "HTML",
"address_1": "559 40th Ave",
"city": "San Francisco",
"state": "CA",
"country_code": "US",
"postal_code": "941212522",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in San Francisco, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.